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Orlando Health Orlando Regional Medical Center: what a joint replacement costs

Orlando, FL 32806 · CMS Certification Number 100006. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,439
Jewett Orthopedic Institute Surgery Center, same ZIP
Outpatient here
$11,820
474 Medicare cases, APC 5115
Inpatient here
$17,776
444 Medicare stays, MS-DRG 470

Medicare prices at Orlando Health Orlando Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,776$155,2658.7×$11,820
Shoulder replacement$20,968$206,4909.8×$16,845
Hip replacement after a fracture (DRG 522)$18,193$202,40011.1×—

Quality

Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 2024 beds

Florida has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Orlando Health Orlando Regional Medical Center for a knee or hip replacement?

In 2024 Medicare paid Orlando Health Orlando Regional Medical Center an average of $17,776 per inpatient hip or knee replacement stay (MS-DRG 470, 444 stays) and $11,820 per outpatient case (APC 5115, 474 cases).

What is Orlando Health Orlando Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $155,265, 8.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Orlando Health Orlando Regional Medical Center?

Yes for Medicare facility payments. Jewett Orthopedic Institute Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447), $9,337 less than an inpatient stay at Orlando Health Orlando Regional Medical Center. Not every patient is a surgery-center candidate.

How does Orlando Health Orlando Regional Medical Center compare with other Florida hospitals?

Medicare paid Orlando Health Orlando Regional Medical Center more than 86% of the 88 Florida hospitals that report inpatient hip or knee replacement.